Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $118.63 / $510.00	Professional		$76.55	$118.63	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $94.96 / $171.44	Professional		$61.48	$94.96	$171.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $219.42 / $261.94	Professional		$191.17	$219.42	$261.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $91.16 / $106.36	Professional		$77.48	$91.16	$106.36
United Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $94.96 / $220.66	Professional		$77.48	$94.96	$220.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $123.37 / $205.92	Professional		$81.99	$123.37	$205.92